Organization
KASIA CALDWELL, LCSW, PLLC
Active
Other names
Intentional Living Academy
Organization subpart
No
Provider details
NPI number
Authorized official
KASIA CALDWELL LCSW (CEO)
(702) 620-9354
Entity
Organization
Contact information
Practice address
801 S RANCHO DR STE E3A, LAS VEGAS, NV 89106-3812
(702) 620-9354
(702) 819-9516
Mailing address
801 S RANCHO DR STE E3A, LAS VEGAS, NV 89106-3812
(702) 620-9354
(702) 819-9516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6925313-3501
STATE OF UTAH DEPARTMENT OF COMMERCE
UT
01
—
8349-C
STATE OF NV BOARD OF EXAMINERS FOR SOCIAL WORKERS
NV
Enumeration date
11/20/2020
Last updated
07/27/2024
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